Technology Use/Management - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Technology Use/Management:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Competencies Included:
Technology Use/Management, Interpersonal Skills, Adaptability, Action, Continual Learning, Leadership, Managing Performance, Achievement, Negotiation
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  1. You understand and are committed to implementing new technologies.
  1. You support technical training and development of employees.
  1. You adopt the implementation of new technology into the workplace.
  1. You apply complex rules and regulations to maintain optimal system performance.
If you were to make improvements in Technology Use/Management, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are respectful of the opinions and ideas of others.
  1. I demonstrate positive behaviors for others to follow.
  1. You come across as credible, knowledgeable and sincere
  1. I am a committed and reliable partner.
  1. I take time to recognize the efforts of others.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You develop insights and apply innovative solutions to projects and problems.
  1. You can accommodate changes as needed.
  1. You are able to adjusts tactics when things are not working as expected.
  1. You are able to adjust to changes as needed.
  1. You are able to adjust to new plans and procedures.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You address safety issues immediately.
  1. You decide to act rather than remain passive.
  1. I complete tasks on time in spite of delays in the process.
  1. I create opportunities and then take advantage of them.
  1. I initiate actions to get things done.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You participate in regular training offered.
  1. You take the initiative to learn new skills.
  1. You pursue self-improvement through continual learning.
  1. You improve on your skill sets.
  1. You pursue professional development opportunities when they arise.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to align manpower, design work, an allocate tasks to achieve goals.
  1. You set a high level of performance expectations and challenges others to do the same.
  1. You set specific, measurable, and challenging goals.
  1. You hold others accountable for your actions.
  1. You act decisively in implementing decisions.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You set clear and ambitious goals to be met.
  1. You address performance issues as soon as possible.
  1. I encourage employees to take additional training in areas where they had low performance scores.
  1. You review job performance shortly after completion of tasks.
  1. You make sure commitments are understood and met.
If you were to make improvements in Managing Performance, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I can complete training on the new equipment.
  1. You hold others to high standards of achievement.
  1. You inspire others to work with a sense of urgency.
  1. I was able to increase production by 20 percent.
  1. I am highly motivated to achieve or exceed performance standards.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Negotiation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I create a constructive atmosphere, building a positive relationship for cooperative negotiations.
  1. You actively listen to conversations to be able to recall important details later.
  1. I stay focused and avoid getting sidetracked by less important issues.
  1. I am aware of wht problems need to be solved.
  1. You resolve difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
If you were to make improvements in Negotiation, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.